Royce Holden Manifold, LPC
Royce Holden Manifold, LPC is a Mental Health Counselor in West Haven, Connecticut. Qualified in 2022, 4 years ago. Practices with Shoreline Wellness Behavioral Health Outreach Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 4
- Licensed in
- CT
- In the registry since
- 2024
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
711 Savin AveWest Haven, CT 06516-4335
Phone: (203) 931-1184
Fax: (475) 234-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 7831 (CT) |
|---|
Record details
| NPI number | 1427870427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | No |
| NPI enumerated | October 30, 2024 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Shoreline Wellness Behavioral Health Outreach Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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